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  1. NTU Theses and Dissertations Repository
  2. 工學院
  3. 醫學工程學研究所
請用此 Handle URI 來引用此文件: http://tdr.lib.ntu.edu.tw/jspui/handle/123456789/96161
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dc.contributor.advisor施博仁zh_TW
dc.contributor.advisorPo-Jen Shihen
dc.contributor.author蔡明伸zh_TW
dc.contributor.authorMing-Shen Tsaien
dc.date.accessioned2024-11-19T16:05:32Z-
dc.date.available2024-11-20-
dc.date.copyright2024-11-19-
dc.date.issued2024-
dc.date.submitted2024-10-16-
dc.identifier.citation1. 柳逸嫻, et al., 2004 年台灣地區眼科門診執業內容分析. 中華民國眼科醫學會雜誌, 2007. 46(1): p. 13-19.
2. 宋文娟, 洪錦墩, and 陳文意, 台灣老年人口醫療利用與多重慢性疾病之分析研究. 臺灣老人保健學刊, 2008. 4(2): p. 75-87.
3. 陳思潔, et al., 臺灣地區民眾白內障門急診就診率之趨勢研究. 醫務管理期刊, 2022. 23(1): p. 80-101.
4. Richdale, K., M.A. Bullimore, and K. Zadnik, Lens thickness with age and accommodation by optical coherence tomography. Ophthalmic and Physiological Optics, 2008. 28(5): p. 441-447.
5. Carr, B.J. and W.K. Stell, The science behind myopia. 2017.
6. Ruan, X., et al., Structure of the lens and its associations with the visual quality. BMJ Open Ophthalmology, 2020. 5(1): p. e000459.
7. 魏思恩, 晶體蛋白突變對水晶體發育之影響. 國立臺灣大學口腔生物科學研究所學位論文, 2004. 2004: p. 1-95.
8. Schachar, R.A., The mechanism of accommodation and presbyopia. International ophthalmology clinics, 2006. 46(3): p. 39-61.
9. Apple, D.J., Sir Harold Ridley and his fight for sight: he changed the world so that we may better see it. 2006: Slack Incorporated.
10. Ophthalmodouleia-That is Service of the Eyes. Vol. 3. 2018: Wayenborgh Publishing.
11. Ridley, H., Intra-ocular acrylic lenses: a recent development in the surgery of cataract. The British journal of ophthalmology, 1952. 36(3): p. 113.
12. Doan, K.T., R.J. Olson, and N. Mamalis, Survey of intraocular lens material and design. Current Opinion in Ophthalmology, 2002. 13(1): p. 24-29.
13. Auffarth, G.U., et al., Quantification of posterior capsule opacification with round and sharp edge intraocular lenses. Ophthalmology, 2003. 110(4): p. 772-780.
14. Yu, N., et al., State of the art of intraocular lens manufacturing. The International Journal of Advanced Manufacturing Technology, 2018. 98: p. 1103-1130.
15. Leonard, P. and J. Rommel, Lens implantation: 30 years of progress. 2012.
16. 蔡宗運, 石英玻璃加工後殘留應力之研究. 清華大學動力機械工程學系學位論文, 2015. 2015: p. 1-46.
17. Phillips, J.W., Photoelasticity. Experimental Stress Analysis. Urbana, 1998.
18. Chang, S.-H. and H.-H.P. Wu, Improvement of digital photoelasticity based on camera response function. Applied Optics, 2011. 50(27): p. 5263-5270.
19. Ajovalasit, A., G. Petrucci, and M. Scafidi, Review of RGB photoelasticity. Optics and Lasers in Engineering, 2015. 68: p. 58-73.
20. Zandman, F., Photoelastic effect of the living eye: The corneas of living human eyes are birefringent. Healthy and sick people have different photoelastic patterns. Possibilities for using photoelasticity as a diagnostic tool are discussed. Experimental mechanics, 1966. 6(5): p. 19A-22A.
21. 程善謙, 光彈性法應用於眼角膜的應力分析和光彈係數估算. 2018.
22. Fisher, R., The elastic constants of the human lens. The Journal of physiology, 1971. 212(1): p. 147-180.
23. Fisher, R., The force of contraction of the human ciliary muscle during accommodation. The Journal of physiology, 1977. 270(1): p. 51-74.
24. Glasser, A. and M.C. Campbell, Presbyopia and the optical changes in the human crystalline lens with age. Vision research, 1998. 38(2): p. 209-229.
25. DelMonte, D.W. and T. Kim, Anatomy and physiology of the cornea. Journal of Cataract & Refractive Surgery, 2011. 37(3): p. 588-598.
26. Gray, H. and W.H. Lewis, Anatomy of the human body. 1918.
27. Jirsova, K. and K. Jirsova, The cornea, anatomy and function. Light and specular microscopy of the cornea, 2017: p. 1-21.
28. Bloemendal, H. and W.W. de Jong, Lens proteins and their genes. Progress in nucleic acid research and molecular biology, 1991. 41: p. 259-281.
29. Bassnett, S., et al., Intercellular communication between epithelial and fiber cells of the eye lens. Journal of Cell Science, 1994. 107(4): p. 799-811.
30. Remington, L.A. and D. Goodwin, Clinical Anatomy and Physiology of the Visual System E-book: Clinical Anatomy and Physiology of the Visual System E-book. 2021: Elsevier Health Sciences.
31. Brown, N., The change in shape and internal form of the lens of the eye on accommodation. Experimental eye research, 1973. 15(4): p. 441-459.
32. Strenk, S.A., et al., Age-related changes in human ciliary muscle and lens: a magnetic resonance imaging study. Investigative ophthalmology & visual science, 1999. 40(6): p. 1162-1169.
33. Jiang, M.-s., et al., Refractive index redistribution with accommodation based on finite volume-constant age-dependent mechanical modeling. Vision Research, 2019. 160: p. 52-59.
34. Wormstone, I.M., L. Wang, and C.S. Liu, Posterior capsule opacification. Experimental eye research, 2009. 88(2): p. 257-269.
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dc.identifier.urihttp://tdr.lib.ntu.edu.tw/jspui/handle/123456789/96161-
dc.description.abstract本研究探討水晶體在調視過程中的力學特性,發展了一種模擬生物眼球力學特徵的實驗方法,並研究懸韌帶作為力傳導介質的作用。實驗設計包括豬水晶體之拉伸試驗,懸韌帶與水晶體的黏著方式,光彈應力分析下觀察等差線分佈。然而,在平面偏振光學系統下未觀察到顯著的等差線,為水晶體內部應力分佈過於均勻或折射率差異不足以產生顯著雙折射效應。為深入研究,我們嘗試改變施力方向和位置,並引入圓偏振光學系統以消除等傾線干擾,即便如此,豬水晶體仍未顯示可觀測的等差線。這表明水晶體的應力分佈或材料特性可能導致光在其內部產生的相位差不足以形成可見的等差線。此外我們考慮了水晶體外層囊袋的光彈性行為。囊袋由膠原蛋白組成,具備一定彈性,類似於角膜的層狀纖維排列。如果施加足夠外力於囊袋就可能顯示出等差線。
光彈性技術在水晶體分析中受限,我們進行了有限元素法分析與影線處理。建立了豬水晶體的三維有限元素模型,並使用實驗中測得的外力作為邊界條件進行模擬與比較。有限元素法結果與影像處理結果一致表明有限元素分析和影像處理結果相符。
在人工水晶體研究中,我們設計了沖壓模具以製造成本低且生產效率高的人工水晶體,並製作了人工囊袋以模擬其在囊袋中的狀態。模擬調視拉伸實驗顯示,人工水晶體在人工囊袋內的光彈等差條紋在不同應力下光強度變化。應力變化對等色線亮度改變證實了應力差異的存在。
zh_TW
dc.description.abstractThis study investigates the mechanical properties of the lens during accommodation, developing an experimental method to simulate the biomechanical characteristics of the eye and exploring the role of zonules as a force transmission medium. The experimental design includes tensile tests on porcine lenses to observe the adhesion between the zonules and the lens, and analyzes the distribution of isochromatic lines under photoelastic stress. However, no significant isochromatic lines were observed under a plane-polarized optical system, likely due to a uniform stress distribution within the lens or insufficient refractive index differences to produce significant birefringence effects. To further investigate, we attempted to alter the direction and position of the applied force and introduced a circularly polarized optical system to eliminate isoclinic line interference. Even with these adjustments, the porcine lens did not display observable isochromatic lines, suggesting that the stress distribution or material properties of the lens might prevent sufficient phase differences in light within the lens to form visible isochromatic lines.
Additionally, we considered the photoelastic behavior of the outer capsular bag of the lens, which is composed of collagen and exhibits some elasticity similar to the layered fiber arrangement of the cornea. If sufficient external force is applied, the capsular bag may display isochromatic lines. Although the application of photoelastic techniques in lens analysis is limited, we conducted finite element method (FEM) analysis and image processing. A 3D finite element model of the porcine lens was established, and the forces measured in the experiment were used as boundary conditions for simulation and comparison. The FEM results were consistent with image processing outcomes, indicating agreement between FEM analysis and image processing results.
In the study of intraocular lenses, we designed stamping molds to produce cost-effective and highly efficient IOLs, and created an artificial capsular bag to simulate the state of the lens within the capsular bag. Simulated accommodation stretching experiments showed that the photoelastic isochromatic fringes of the IOL within the artificial capsular bag exhibited changes in light intensity under different stress conditions. The change in light intensity of the isochromatic lines due to stress variations confirmed the existence of stress differences.
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dc.description.tableofcontents目 次
謝 誌 i
摘 要 ii
ABSTRACT iii
目 次 v
圖 次 viii
表 次 xvi
1 第一章 緒論 1
1.1 研究動機 2
1.2 調視 3
1.2.1 水晶體 4
1.2.2 懸韌帶 5
1.2.3 睫狀肌 7
1.3 白內障手術與人工水晶體 8
1.4 人工水晶體材料與設計 10
1.5 人工水晶體的製程 11
2 第二章 文獻回顧 14
2.1 光彈應力(Photoelasticity)分析法 14
2.1.1 光彈理論 15
2.1.2 光彈條紋場 18
2.2 光彈分析應用於眼角膜應力分析 24
2.3 模擬水晶體的調視 29
2.3.1 調視相關的疾病 29
2.3.2 研究水晶體變形之論文 30
3 第三章 材料與實驗方法 37
3.1 模擬人眼調視之實驗用豬水晶體準備 37
3.2 模擬調視作用於囊袋內的人工水晶體之實驗 39
3.2.1 實驗用光彈性人工水晶體製作 39
3.2.2 人工水晶體植入於豬眼囊袋 42
3.2.3 人工囊袋製作植入人工水晶體 44
3.3 實驗儀器設計與測試 45
3.3.1 拉伸儀器與量測裝置 45
3.3.2 偏振系統 47
3.3.3 懸韌帶黏著方法 48
4 第四章 實驗設置結果與討論 51
4.1 光彈性實驗於水晶體之測量 51
4.1.1 水晶體之光彈實驗 51
4.1.2 水晶體之光彈應力分析之討論 60
4.2 水晶體變形測量與分析 64
4.2.1 影像處理與形變判斷 66
4.2.2 有限元素模型建立 71
4.2.3 有限元素法分析調視狀態下豬水晶體之討論 74
4.3 人工水晶體於囊袋內之光彈力學實驗 75
4.3.1 光彈人工水晶體於人工囊袋之光彈性 75
4.3.2 光彈人工水晶體於人工囊袋之光彈性之討論 79
5 第五章 結論與展望 81
5.1 結論 81
5.2 未來展望 84
6 參考文獻 85
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dc.language.isozh_TW-
dc.subject人工水晶體zh_TW
dc.subject光彈理論zh_TW
dc.subject調視zh_TW
dc.subject有限元素法zh_TW
dc.subject白內障zh_TW
dc.subject水晶體zh_TW
dc.subjectIntraocular Lensen
dc.subjectFinite Elements Methoden
dc.subjectAccommodationen
dc.subjectPhotoelasticityen
dc.subjectCataracten
dc.subjectLensen
dc.title水晶體與人工水晶體之力學分析zh_TW
dc.titleThe Mechanism of Lens and its Interaction with Intraocular Lensen
dc.typeThesis-
dc.date.schoolyear113-1-
dc.description.degree碩士-
dc.contributor.oralexamcommittee王富正;施華儒zh_TW
dc.contributor.oralexamcommitteeFu-Cheng Wang;Hua-Ju Shihen
dc.subject.keyword水晶體,人工水晶體,白內障,光彈理論,調視,有限元素法,zh_TW
dc.subject.keywordLens,Intraocular Lens,Cataract,Photoelasticity,Accommodation,Finite Elements Method,en
dc.relation.page86-
dc.identifier.doi10.6342/NTU202404458-
dc.rights.note同意授權(全球公開)-
dc.date.accepted2024-10-16-
dc.contributor.author-college工學院-
dc.contributor.author-dept醫學工程學系-
顯示於系所單位:醫學工程學研究所

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